go back

Tennessee rates for HCPCS 95873

Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.92 / $19.50 / $50.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.34 / $76.88 / $126.15
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.85 / $20.85 / $30.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.73 / $96.02 / $141.16
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.66 / $26.99 / $38.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.32 / $85.21 / $129.59
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.07 / $25.64 / $35.40
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.37 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.88 / $490.88 / $569.17
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$122.01 / $122.01 / $153.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.99 / $75.95 / $137.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.48 / $21.30 / $40.36